1. REQUEST: Fundingthrough the Centersfor Medicare and MedicaidInnovation(CMMI) to provide for
the testingof a payment and service deliverymodel that includeshealtheducationinitiativesfor
reducinghealth disparities,consistentwiththe cost and quality criteriaotherwise applicable to the
testingof modelsundersuch section. CMMI was established in the Affordable Care Act to test innovative
payment and delivery system models that show promise of maintaining or improving the quality of care or
slow the rate of growth in program costs in Medicare, Medicaid, and the Children's Health Insurance Program
(CHIP).
The Secretary of HHS acting through the Centersfor
Medicare and Medicaid Innovation under section
1115A of the Social Security Act (42 U.S.C. 1315a)
shall provide for the testing of a payment and
service delivery model that includes health
education initiatives for reducing health disparities
in all populations, consistent with the cost and
quality criteria otherwise applicable to the testing
of models under such section.
Center for Medicare and Medicaid
Innovation
The Center for Medicare and Medicaid Innovation
(CMMI) is an organization of the United States
Government under the Centers for Medicareand
Medicaid Services (CMS) that was established in the
Affordable CareAct to test innovativepayment and
delivery system models that show promisefor
maintainingor improvingthe quality in Medicare,
Medicaid and the Children’s Health Insurance
Program (CHIP).
Three goals of CMMI
Three goals of CMMI are to slowthe rate of growth
in program costs,give priority to twenty models
specified in the law,includingmedical homes,all-
payer payment reform, and arrangements that
transition fromfee-for-service reimbursement to
global fees and salary-based payment, and
overcome inertia in the healthcaresystem by
creatinga mechanismfor the diffusion of successful
pilotprograms.
Implementingthe StudiesNationwide
Every test of a new servicedelivery or payment
model developed by CMMI also includes a plan of
action to ensure that the lessons learned and best
practices identified duringthe test can be spread as
widely and effectively as possibleto support
improvement for both CMS and the health care
system at large. CMMI has also created learning
collaboratives for providers in our models to
promote broad and rapid dissemination of evidence
and best practices thathave the potential to deliver
higher quality and lower costcare for Medicare,
Medicaid and CHIP beneficiaries.Evaluation results
are shared with participatingproviders on an
